Individual
DR. DANIEL WALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LP
Contact information
Practice address
4000 W WALTON BLVD STE B, WATERFORD, MI 48329-4191
(248) 461-6266
(248) 791-7905
Mailing address
4000 W WALTON BLVD STE B, WATERFORD, MI 48329-4191
(248) 881-6698
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6301014904
MI
Other
Enumeration date
11/08/2011
Last updated
06/07/2023
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